Individual
STACY ANN YOUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
985 FARMVEU RD, MATTITUCK, NY 11952-3705
(631) 235-7346
Mailing address
985 FARMVEU RD, MATTITUCK, NY 11952-3705
(631) 235-7346
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
05/06/2025
Last updated
05/06/2025
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